ANNEX A

Republic of the Philippines

DEPARTMENT OF EDUCATION
Caraga Administrative Region
Schools Division of Siargao

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

Pursuant to COA Circular No. 2017-001 dated

Name of Employee: GIOVANETTE D. ESPEJON Employee No.

Office: SIARGAO NATIONAL SCIENCE HIGH SCHOOL
Division: DEPED- SCHOOLS DIVISION OF SIARGAO
PARTICULARS Amount (P)
Taxi fare from Hotel to Mactan International Airpot 245.00
March 26, 2018

Total PHP 245.00

Purpose: To attend Capacity Building of Learning Facilitators for the SHDP Intermediate Course for Cluster IV

I hereby certify that the above expenses are incurred as they are above necessary for the cited purpose that above
goods and services were acquired from parties not issuing receipts and that I am fully aware that willful falsification
of statements is punishable by law.
Certified correct: Noted by:

SIGNATURE
PRINTED NAME GIOVANETTE D. ESPEJON HAREM L. TARUC
Employee Immediate Supervisor
DATE: DATE:
 ANNEX A
Republic of the Philippines
DEPARTMENT OF EDUCATION
Caraga Administrative Region
Schools Division of Siargao

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

Pursuant to COA Circular No. 2017-001 dated

Name of Employee: JESSICA C. DULGUIME Employee No.

Office: CONSOLACION NATIONAL HIGH SCHOOL
Division: DEPED- SCHOOLS DIVISION OF SIARGAO
PARTICULARS Amount (P)
Pumpboat Hire from Consolacion to Dapa 150.00

Total PHP 150.00

Purpose: To attend the 4th Regular Division Management Committee(MANCOM) Conference on April 23 to 25, 2023

I hereby certify that the above expenses are incurred as they are above necessary for the cited purpose that
above goods and services were acquired from parties not issuing receipts and that I am fully aware that willful
falsification of statements is punishable by law.
Certified correct: Noted by:

SIGNATURE
PRINTED NAME JESSICA C. DULGUIME ANA MARIA TOMASITA C. ESPEJON
Employee P III / District In Charge
DATE: April 23, 2023 DATE: April 23, 2023
 ANNEX A
Republic of the Philippines
DEPARTMENT OF EDUCATION
Caraga Administrative Region
Schools Division of Siargao

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

Pursuant to COA Circular No. 2017-001 dated
Name of Employee: MARIETTA T. NAJIAL Employee No.
Office: DAPA NHS - DAGOHOY INTEGRATED SCHOOL
Division: DEPED- SCHOOLS DIVISION OF SIARGAO
PARTICULARS Amount (P)
Pumboat Hire from Dagohoy to Dapa 100.00

Total PHP 100.00

Purpose: To attend the 4th Regular Division Management Committee(MANCOM) Conference on April 23 to 25, 2023

I hereby certify that the above expenses are incurred as they are above necessary for the cited purpose that above
goods and services were acquired from parties not issuing receipts and that I am fully aware that willful falsification
of statements is punishable by law.
Certified correct: Noted by:

SIGNATURE
PRINTED NAME MARIETTA T. NAJIAL ROLANDO S. SAPURAS
Employee PSDS
DATE: April 23, 2023 DATE: April 23, 2023
 ANNEX A
Republic of the Philippines
DEPARTMENT OF EDUCATION
Caraga Administrative Region
Schools Division of Siargao

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

Pursuant to COA Circular No. 2017-001 dated

Name of Employee: LENIE ESTOCONING Employee No.

Office: CONSOLACION NATIONAL HIGH SCHOOL
Division: DEPED- SCHOOLS DIVISION OF SIARGAO
PARTICULARS Amount (P)
Pumboat Fare from Dapa to Consolacion after Seminar 100.00
June 22, 2018

Total PHP 100.00

Purpose: To attend Syposium on the Contreversial Site at Limasawa and Butuan City

I hereby certify that the above expenses are incurred as they are above necessary for the cited purpose that above
goods and services were acquired from parties not issuing receipts and that I am fully aware that willful falsification
of statements is punishable by law.
Certified correct: Noted by:

SIGNATURE
PRINTED NAME LENIE ESTOCONING JESSICA C. DULGUIME
Employee Immediate Supervisor
DATE: DATE:
 ANNEX A
Republic of the Philippines
DEPARTMENT OF EDUCATION
Caraga Administrative Region
Schools Division of Siargao

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

Pursuant to COA Circular No. 2017-001 dated

Name of Employee: JESSICA C. DULGUIME Employee No.

Office: CONSOLACION NATIONAL HIGH SCHOOL
Division: DEPED- SCHOOLS DIVISION OF SIARGAO
PARTICULARS Amount (P)
Pumpboat Hire from Consolacion to Dapa 150.00

Total PHP 150.00

Purpose: To attend the 9th NAPSSPHIL Principals Congress July 25-27, 2023 at Vigan City
I hereby certify that the above expenses are incurred as they are above necessary for the cited purpose that
above goods and services were acquired from parties not issuing receipts and that I am fully aware that willful
falsification of statements is punishable by law.
Certified correct: Noted by:

SIGNATURE
PRINTED NAME JESSICA C. DULGUIME ANA MARIA TOMASITA C. ESPEJON
Employee PSDS
DATE: July 24, 2023 DATE: July 24, 2023
 ANNEX A
Republic of the Philippines
DEPARTMENT OF EDUCATION
Caraga Administrative Region
Schools Division of Siargao

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

Pursuant to COA Circular No. 2017-001 dated

Name of Employee: JESSICA C. DULGUIME Employee No.

Office: CONSOLACION NATIONAL HIGH SCHOOL
Division: DEPED- SCHOOLS DIVISION OF SIARGAO
PARTICULARS Amount (P)
Pumpboat Hire from Dapa to Consolacion 150.00

Total PHP 150.00

Purpose: To attend the 9th NAPSSPHIL Principals Congress July 25-27, 2023 at Vigan City
I hereby certify that the above expenses are incurred as they are above necessary for the cited purpose that
above goods and services were acquired from parties not issuing receipts and that I am fully aware that willful
falsification of statements is punishable by law.
Certified correct: Noted by:

SIGNATURE
PRINTED NAME JESSICA C. DULGUIME ANA MARIA TOMASITA C. ESPEJON
Employee PSDS
DATE: July 30, 2023 DATE: July 30, 2023
 ANNEX A
Republic of the Philippines
DEPARTMENT OF EDUCATION
Caraga Administrative Region
Schools Division of Siargao

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

Pursuant to COA Circular No. 2017-001 dated

Name of Employee: JESSICA C. DULGUIME Employee No.

Office: CONSOLACION NATIONAL HIGH SCHOOL
Division: DEPED- SCHOOLS DIVISION OF SIARGAO
PARTICULARS Amount (P)
Trycycle fare from Dapa to Sayak, Siargao Airport 300.00

Total PHP 300.00

Purpose: To attend the 9th NAPSSPHIL Principals Congress July 25-27, 2023 at Vigan City
I hereby certify that the above expenses are incurred as they are above necessary for the cited purpose that
above goods and services were acquired from parties not issuing receipts and that I am fully aware that willful
falsification of statements is punishable by law.
Certified correct: Noted by:

SIGNATURE
PRINTED NAME JESSICA C. DULGUIME ANA MARIA TOMASITA C. ESPEJON
Employee PSDS
DATE: July 24, 2023 DATE: July 24, 2023
 ANNEX A
Republic of the Philippines
DEPARTMENT OF EDUCATION
Caraga Administrative Region
Schools Division of Siargao

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

Pursuant to COA Circular No. 2017-001 dated

Name of Employee: JESSICA C. DULGUIME Employee No.

Office: CONSOLACION NATIONAL HIGH SCHOOL
Division: DEPED- SCHOOLS DIVISION OF SIARGAO
PARTICULARS Amount (P)
Trycycle fare from Sayak, Siargao Airport to Dapa 300.00

Total PHP 300.00

Purpose: To attend the 9th NAPSSPHIL Principals Congress July 25-27, 2023 at Vigan City
I hereby certify that the above expenses are incurred as they are above necessary for the cited purpose that
above goods and services were acquired from parties not issuing receipts and that I am fully aware that willful
falsification of statements is punishable by law.
Certified correct: Noted by:

SIGNATURE
PRINTED NAME JESSICA C. DULGUIME ANA MARIA TOMASITA C. ESPEJON
Employee PSDS
DATE: July 30, 2023 DATE: July 30, 2023
 ANNEX A
Republic of the Philippines
DEPARTMENT OF EDUCATION
Caraga Administrative Region
Schools Division of Siargao

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

Pursuant to COA Circular No. 2017-001 dated

Name of Employee: MARIETTA T. NAJIAL Employee No.

Office: DAPA NHS-DAGOHOY INTEGRATED SCHOOL
Division: DEPED- SCHOOLS DIVISION OF SIARGAO
PARTICULARS Amount (P)
Van for hire from Laoag to Vigan 300.00

Total PHP 300.00

Purpose: To attend the 9th NAPSSPHIL Principals Congress July 25-27, 2023 at Vigan City
I hereby certify that the above expenses are incurred as they are above necessary for the cited purpose that
above goods and services were acquired from parties not issuing receipts and that I am fully aware that willful
falsification of statements is punishable by law.
Certified correct: Noted by:

SIGNATURE
PRINTED NAME MARIETTA T. NAJIAL JOSEPH D. SOLANA
Employee PSDS
DATE: July 24, 2023 DATE: July 24, 2023